本研究的目的是回顾有关基于气管损伤时间和不同外科医生的个人经验的各种治疗方法的文献。
我们回顾性回顾了2006年至2017年在福贾OspedaliRiuniti大学外科进行的所有甲状腺全切除术病例。仅发现一例由于传统的甲状腺全切除术引起的气管病变。使用MEDLINE(PubMed)对相关文献进行了广泛的搜索。我们包括报告文章类型的文章,患者人数,性别,年龄,手术的原因,术中气管穿孔或延迟破裂的时间,症状,诊断,外科手术类型,病理报告和随访。
从列出的来源中筛选了总共156项已发表的研究。其中,本研究包括15项研究。我们在分析中介绍了我们的案例。总共对16例患者进行了完全分析。有7名男性(43.7%)和7名女性(43.7%),对两个病人来说,性别不可用。患者平均年龄为41.6岁。
文献综述显示,很少有病例接受不同的治疗。然而,标准化治疗会很好。气管穿孔,如果遇到,需要在拥有大量甲状腺切除术的专业中心进行适当管理。
The aim of this study is to review the literature focusing on various treatments based on time of tracheal injury and on different surgeons\' personal experience.
We retrospectively reviewed all cases of total thyroidectomy performed at the University Surgical Department of Ospedali Riuniti of Foggia from 2006 to 2017. Only a single case of tracheal lesion due to traditional total thyroidectomy was found. An extensive search of the relevant literature was carried out using MEDLINE (PubMed). We included articles that reported article type, patient number, sex, age, reasons for surgery, time of tracheal perforation intraoperatively or delayed rupture, symptoms, diagnosis, type of surgical procedure, pathological report and follow-up.
A total of 156 published studies were screened from the sources listed. Of these, 15 studies were included in the present study. We introduced our case in the analysis. A total of 16 patients were totally analysed. There were seven males (43.7%) and seven females (43.7%), and for two patients, gender was not available. The mean patient age was 41.6 years.
The literature review showed very few cases treated differently. However, it would be good to standardise treatments. Tracheal perforation, if encountered, needs to be managed appropriately in centres of expertise with a high volume of thyroidectomies.